Can you take Primatene with Solriamfetol?
1 drug interaction and 17 additional warnings found for the following 2 drugs:
- Primatene (ephedrine/guaifenesin)
- solriamfetol
Drug interactions
Moderate drug interactions
Moderate:
ePHEDrine solriamfetol
Applies to: Primatene (ephedrine / guaifenesin) and solriamfetol
Both ePHEDrine and solriamfetol can increase blood pressure and heart rate, and combining them may enhance these effects.
Talk to your doctor if you have any questions or concerns, particularly if you have a history of:
- high blood pressure
- irregular heart rhythm
- heart disease
Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
Moderate food/lifestyle interactions
Moderate:
ePHEDrine Caffeine
Applies to: Primatene (ephedrine / guaifenesin)
Both ePHEDrine and caffeine can increase blood pressure and heart rate, and combining them may enhance these effects.
Talk to your doctor before using these medications, especially if you have a history of high blood pressure or heart disease. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.
Contact your doctor if your condition changes or you experience increased side effects.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Disease interactions
16 potential interactions Applies to: 12 conditions, including Anxiety and Stress, Benign Prostatic Hyperplasia, Hyperthyroidism, Psychosis, and Heart Disease.
Anxiety and Stress
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Anxiety and Stress.
The use of solriamfetol may cause adverse psychiatric reactions, including anxiety, insomnia, and irritability. It is recommended to exercise caution when treating patients who have a history of psychosis or bipolar disorders. Observe patients treated with solriamfetol for the possible emergence or exacerbation of psychiatric symptoms and consider dose reduction or discontinuation of treatment.
Benign Prostatic Hyperplasia
Moderate:
Primatene
The ePHEDrine in Primatene has a moderate potential interaction with Benign Prostatic Hyperplasia.
Sympathomimetic agents may cause or worsen urinary difficulty in patients with prostate enlargement due to smooth muscle contraction in the bladder neck via stimulation of alpha-1 adrenergic receptors. Therapy with sympathomimetic agents should be administered cautiously in patients with hypertrophy or neoplasm of the prostate.
Cardiovascular Conditions and Disorders
Major:
Primatene
The ePHEDrine in Primatene has a major potential interaction with Cardiovascular Conditions and Disorders.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Cardiovascular Conditions and Disorders.
The primary route of solriamfetol elimination is via urinary excretion. Dosage adjustment is not required for patients with mild renal impairment. Dosage adjustment is recommended for patients with moderate to severe renal impairment. Solriamfetol is not recommended for patients with end-stage renal disease. An average of 21% of solriamfetol is removed by hemodialysis. Patients with moderate or severe renal impairment may be at a higher risk of increases in cardiovascular adverse events and psychiatric symptoms because of the prolonged half-life.
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Cardiovascular Conditions and Disorders.
Solriamfetol increases systolic blood pressure, diastolic blood pressure, and heart rate in a dose-dependent fashion. It is recommended to exercise caution when treating patients at higher risk of cardiovascular toxicities, particularly patients with known cardiovascular and cerebrovascular disease, preexisting hypertension, and patients with advanced age. Assess blood pressure and control hypertension before initiating treatment and monitor blood pressure regularly during treatment. Periodically reassess the need for continued therapy with solriamfetol and treat new-onset hypertension and exacerbations of preexisting hypertension according to clinical guidelines. If a patient experiences increases in blood pressure or heart rate that cannot be managed with dose reduction or other appropriate medical intervention, consider treatment discontinuation.
Cerebrovascular Insufficiency
Major:
Primatene
The ePHEDrine in Primatene has a major potential interaction with Cerebrovascular Insufficiency.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Diabetes Mellitus
Moderate:
Primatene
The ePHEDrine in Primatene has a moderate potential interaction with Diabetes Mellitus.
Sympathomimetic agents may cause increases in blood glucose concentrations. These effects are usually transient and slight but may be significant with dosages higher than those normally recommended. Therapy with sympathomimetic agents should be administered cautiously in patients with diabetes mellitus. Closer monitoring of blood glucose concentrations may be appropriate.
Moderate:
Primatene
The ePHEDrine in Primatene has a moderate potential interaction with Diabetes Mellitus.
Ephedrine may produce slight increases in blood glucose concentrations. Therapy with ephedrine should be administered cautiously in patients with diabetes mellitus. Closer monitoring of blood glucose concentrations may be appropriate. It is important that the recommended dosages of ephedrine are not exceeded.
Heart Disease
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Heart Disease.
Solriamfetol increases systolic blood pressure, diastolic blood pressure, and heart rate in a dose-dependent fashion. It is recommended to exercise caution when treating patients at higher risk of cardiovascular toxicities, particularly patients with known cardiovascular and cerebrovascular disease, preexisting hypertension, and patients with advanced age. Assess blood pressure and control hypertension before initiating treatment and monitor blood pressure regularly during treatment. Periodically reassess the need for continued therapy with solriamfetol and treat new-onset hypertension and exacerbations of preexisting hypertension according to clinical guidelines. If a patient experiences increases in blood pressure or heart rate that cannot be managed with dose reduction or other appropriate medical intervention, consider treatment discontinuation.
Hyperthyroidism
Major:
Primatene
The ePHEDrine in Primatene has a major potential interaction with Hyperthyroidism.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Pheochromocytoma
Major:
Primatene
The ePHEDrine in Primatene has a major potential interaction with Pheochromocytoma.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Prostate Tumor, Benign
Moderate:
Primatene
The ePHEDrine in Primatene has a moderate potential interaction with Prostate Tumor, Benign.
Sympathomimetic agents may cause or worsen urinary difficulty in patients with prostate enlargement due to smooth muscle contraction in the bladder neck via stimulation of alpha-1 adrenergic receptors. Therapy with sympathomimetic agents should be administered cautiously in patients with hypertrophy or neoplasm of the prostate.
Psychosis
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Psychosis.
The primary route of solriamfetol elimination is via urinary excretion. Dosage adjustment is not required for patients with mild renal impairment. Dosage adjustment is recommended for patients with moderate to severe renal impairment. Solriamfetol is not recommended for patients with end-stage renal disease. An average of 21% of solriamfetol is removed by hemodialysis. Patients with moderate or severe renal impairment may be at a higher risk of increases in cardiovascular adverse events and psychiatric symptoms because of the prolonged half-life.
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Psychosis.
The use of solriamfetol may cause adverse psychiatric reactions, including anxiety, insomnia, and irritability. It is recommended to exercise caution when treating patients who have a history of psychosis or bipolar disorders. Observe patients treated with solriamfetol for the possible emergence or exacerbation of psychiatric symptoms and consider dose reduction or discontinuation of treatment.
Renal Dysfunction
Moderate:
solriamfetol
Solriamfetol has a moderate potential interaction with Renal Dysfunction.
The primary route of solriamfetol elimination is via urinary excretion. Dosage adjustment is not required for patients with mild renal impairment. Dosage adjustment is recommended for patients with moderate to severe renal impairment. Solriamfetol is not recommended for patients with end-stage renal disease. An average of 21% of solriamfetol is removed by hemodialysis. Patients with moderate or severe renal impairment may be at a higher risk of increases in cardiovascular adverse events and psychiatric symptoms because of the prolonged half-life.
Urinary Tract Obstruction
Moderate:
Primatene
The ePHEDrine in Primatene has a moderate potential interaction with Urinary Tract Obstruction.
Sympathomimetic agents such as ephedrine have the potential for producing clinically significant systemic effects, particularly during prolonged or indiscriminate use. In patients with prostate enlargement, urinary difficulty may develop or worsen due to smooth muscle contraction in the bladder neck via stimulation of alpha-1 adrenergic receptors. Therapy with ephedrine should be administered cautiously in patients with difficulty for urination due to hypertrophy or neoplasm of the prostate. It is important that the recommended dosages are not exceeded.
More resources
Primatene
A total of 243 drugs are known to interact with Primatene.
- Primatene is in the drug class upper respiratory combinations.
- Primatene is used to treat Cold Symptoms.
solriamfetol
A total of 82 drugs are known to interact with solriamfetol.
- Solriamfetol is in the drug class miscellaneous central nervous system agents.
- Solriamfetol is used to treat the following conditions:
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.